Nicole Simeri

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

46003388A Issued in IN

Practice address

206 E Marion St
South Bend, IN 46601-1029

Phone

(574) 233-0165

NPI assigned

Aug 26, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535241600000",
    "number": "1811478050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6034 S BRIDGETON LN",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466146364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 E MARION ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011029",
            "telephone_number": "574-233-0165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 W Mishawaka Rd",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465171921",
            "country_code": "US",
            "telephone_number": "574-293-1550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMERI",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-26",
        "last_updated": "2018-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "46003388A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Warren William Sibilla Jr., PH.D.
• James Paul Sieradzki, M.D.
• Nancy Betsaida Sigala Flores
• Carol Louise Sikorski, WHNP
• Rise Yvonne Silas
• Linda Renee Simmons
• Tyne Marie Simpson, FNP
• Alina Singh
• Emily-Rae Reed Singh, MD
• Gaganjot Singh, DMD

• Speech-Language Pathologist in South Bend, IN
• Providers in South Bend, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.